Clinical features and diagnostic value of metagenomic next -generation sequencing in five cases of non-HIV related Pneumocystis jirovecii pneumonia in children

医学 基因组 耶氏肺孢子虫 肺炎 病毒学 DNA测序 人类免疫缺陷病毒(HIV) 肺孢子虫肺炎 内科学 免疫学 遗传学 基因 生物 微生物学
作者
Jiechao Niu,Jiandong Wang,Peisheng Jia,Mengjiao Zhang,Erhu Wei
出处
期刊:Frontiers in Cellular and Infection Microbiology [Frontiers Media]
卷期号:13 被引量:1
标识
DOI:10.3389/fcimb.2023.1132472
摘要

Pneumocystis jirovecii (PJ) is an opportunistic pathogenic fungus, and PJ pneumonia (PJP) is a commonly problem in HIV-positive patients. While PJP is not caused by HIV, it generally advances rapidly and can quickly lead to severe respiratory failure. To improve pediatricians' understanding of the condition and aid early accurate diagnoses and therapy, we examined the clinical characteristics of five instances of non-HIV related PJP (NH-PJP) in children and the efficacy of metagenomic next-generation sequencing (mNGS) in its diagnosis.From January 2020 to June 2022, five children with NH-PJP were admitted to the PICU of the First Affiliated Hospital of Zhengzhou University. We retrospectively summarize the clinical presentation, previous histories, routine laboratory findings, treatment, outcome of regression, and results of mNGS in these five children.Five male children between the ages of 11 months and 14 years had an acute onset on NH-PJP, three of the children had chest tightness after activity, shortness of breath and paroxysmal dry cough, - and two had high fever and dry cough. All five of the children had several flocculent high-density pictures in both lungs at the beginning of the disease, and lung auscultation revealed coarse breath sounds in both lungs, one of which was accompanied by a modest quantity of dry rales. PJ nuclear sequences were found in one patient and four patients' blood and alveolar lavage fluid. All five children were treated with Trimethoprim-sulfamethoxazole (TMP-SMX) in combination with Caspofungin and corresponding symptomatic treatment. Four patients were cured and one patient died.Children commonly encounter an initial exposure to NH-PJP, which manifests as a high fever, dry cough, chest discomfort, dyspnea that worsens over time, fast disease progression, and a high death rate. The clinical presentation of children with PJ infection should be taken into consideration along with the results for diagnose. mNGS has higher sensitivity and a shorter detection period compared to identification of PJP.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
1秒前
2秒前
韭菜盒子发布了新的文献求助10
4秒前
潘特发布了新的文献求助10
7秒前
乌滴子完成签到,获得积分10
8秒前
量子星尘发布了新的文献求助10
9秒前
善学以致用应助韭菜盒子采纳,获得10
9秒前
jiaaniu完成签到 ,获得积分10
11秒前
清脆靳完成签到,获得积分10
12秒前
cp3xzh完成签到,获得积分10
12秒前
tian发布了新的文献求助10
14秒前
tian发布了新的文献求助10
14秒前
明理宛秋完成签到 ,获得积分10
15秒前
S月小小完成签到,获得积分10
19秒前
斯文的慕儿完成签到 ,获得积分10
26秒前
keen完成签到 ,获得积分10
26秒前
韭菜盒子完成签到,获得积分20
27秒前
潘特完成签到,获得积分10
28秒前
小彭友完成签到,获得积分10
39秒前
40秒前
josie完成签到 ,获得积分10
44秒前
llll完成签到 ,获得积分10
44秒前
量子星尘发布了新的文献求助10
44秒前
韭菜发布了新的文献求助10
44秒前
外向的斑马完成签到 ,获得积分10
45秒前
村长热爱美丽完成签到 ,获得积分10
47秒前
尹尹关注了科研通微信公众号
49秒前
呆呆完成签到 ,获得积分10
50秒前
xianyaoz完成签到 ,获得积分0
57秒前
杨远杰完成签到,获得积分10
58秒前
蓝桉完成签到 ,获得积分10
58秒前
JuliaWang完成签到 ,获得积分10
1分钟前
无限的含羞草完成签到,获得积分10
1分钟前
八二力完成签到 ,获得积分10
1分钟前
韭菜发布了新的文献求助10
1分钟前
情怀应助科研通管家采纳,获得30
1分钟前
water应助科研通管家采纳,获得10
1分钟前
JamesPei应助科研通管家采纳,获得10
1分钟前
2012csc完成签到 ,获得积分0
1分钟前
风清扬应助韭菜采纳,获得10
1分钟前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Handbook of Industrial Diamonds.Vol2 1100
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038112
求助须知:如何正确求助?哪些是违规求助? 3575788
关于积分的说明 11373801
捐赠科研通 3305604
什么是DOI,文献DOI怎么找? 1819255
邀请新用户注册赠送积分活动 892655
科研通“疑难数据库(出版商)”最低求助积分说明 815022